Individual
CARMELITA M HUDSON-KANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
465 S MOUNT AUBURN RD, SUITE 103, CAPE GIRARDEAU, MO 63703-4926
(573) 335-2900
(573) 335-2905
Mailing address
609 NORTHDALE DR, PERRYVILLE, MO 63775-1115
(573) 517-0036
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD101365
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110212243
MEDICARE RAILROAD
—
Enumeration date
06/01/2006
Last updated
01/13/2012
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